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ICD-10 Guide
ICD-10 CodesV19.6

V19.6

Billable

Unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V19.6 is a billable code used to indicate a diagnosis of unspecified pedal cyclist injured in collision with other and unspecified motor vehicles in traffic accident.

Key Diagnostic Point:

The ICD-10 code V19.6 is used to classify injuries sustained by pedal cyclists involved in collisions with other vehicles, specifically when the details of the incident are not specified. This code is crucial for capturing data on traffic accidents involving cyclists, which can inform public health initiatives and traffic safety policies. The code encompasses a range of potential injuries, from minor abrasions to severe trauma, and is applicable in various healthcare settings, including emergency departments and trauma centers. Accurate coding is essential for understanding the epidemiology of cycling injuries, guiding preventive measures, and allocating resources effectively. Documentation should include details about the circumstances of the accident, the type of vehicles involved, and the nature of the injuries sustained to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity in the code, leading to potential misclassification.
  • Variability in documentation practices across providers.
  • Need for detailed accident descriptions to support coding.
  • Potential overlap with other external cause codes.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of vehicle involved.
  • Misuse of unspecified codes leading to potential denials.
  • Inconsistent coding practices among different coders.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including the type of collision and the cyclist's condition upon arrival.

Common Clinical Scenarios

Cyclists presenting with trauma after being struck by a car or truck, often requiring immediate assessment and intervention.

Billing Considerations

Accurate documentation of the cyclist's helmet use and protective gear can impact coding and safety recommendations.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions performed, and any complications arising from the accident.

Common Clinical Scenarios

Severe injuries such as fractures, head trauma, or internal injuries resulting from a collision with a motor vehicle.

Billing Considerations

Consideration of co-existing conditions and the cyclist's medical history is essential for comprehensive coding.

Coding Guidelines

Inclusion Criteria

Use V19.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the circumstances of the injury, including the location, activity, and type of vehicle involved, to support the use of V19

Exclusion Criteria

Do NOT use V19.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used when a cyclist presents with moderate injuries after a collision.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine providers should ensure that all relevant details of the accident are documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data collection on cycling injuries. However, the unspecified nature of V19.6 can lead to challenges in accurately capturing the full scope of cycling-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data collection on cycling injuries. However, the unspecified nature of V19.6 can lead to challenges in accurately capturing the full scope of cycling-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data collection on cycling injuries. However, the unspecified nature of V19.6 can lead to challenges in accurately capturing the full scope of cycling-related injuries.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use V19.6?

Use V19.6 when documenting injuries sustained by a pedal cyclist in a collision with other unspecified motor vehicles, particularly when specific details about the accident are not available.